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FEED

The Manager ensures effective performance and alignment across multiple vendors, including customer service, claims administration, HRA management, and coalition partnerships, while driving data-informed decision-making and operational excellence. The Manager of Healthcare Vendors & Analytics will be responsible for overseeing the Las Vegas Managed Care Specialist team and managing key healthcare vendor relationships that support the Hospitality Health Plan and analytics.

YEAR

UNITE HERE HEALTH

Manager, Healthcare Vendor Contracts and Analytics

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Advanced understanding of all aspects of HSE management, including workers comp, disciplinary action, subcontractor management, environmental management, personnel development, law, policies, client management, etc. Provide timely and accurate reporting with internal and external support including, but not limited to, claims processing, return to work, light duty assignment, closure of claims, and resolving discrepancies as needed.

Nox Group

Hse Manager

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OTHER

WHY JOIN ALO? Mindful movement. It’s at the core of why we do what we do at ALO—it’s our calling. Because mindful movement in the studio leads to better living. It changes who yogis are off the mat, making their lives and their communities better. That’s the real meaning of studio-to-street: taking the consciousness from prac...

HR Manager

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Have experience in pre-contract cost management while being experienced in budget control, cost planning, preparing and initiating change forms for discussion with other project stakeholders while being knowledgeable on alternative construction materials. Overview: As a Senior Cost Manager  at Linesight, you will work with highly experienced, culturally diverse, and passionate teams nurturing a strong social dynamic and a shared sense of achievement.

Linesight

Senior Cost Manager

[AW]-iCims

The following certifications are preferred: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), and Certified Professional Coder (CPC) Ability to manage demanding investigative case load Strong written skills with ability to compose detailed investigative reports and professional internal and external correspondences Strong interpersonal skills, high level of professionalism, integrity and ethics in performance of all duties Excellent problem solving and decision-making skills with attention to details Experience in working with QNXT or any claim's processing application is preferred. www.uhs.com Qualifications Qualifications and Requirements: Bachelor's Degree or equivalent years of relevant work experience in Health-Related Field or Insurance required 3-5 years' experience in healthcare such as insurance, medical claims, medical front/back office, contracting, finance or Provider Relations Experience in healthcare fraud investigations, auditing, data analytics or related field Ability to apply knowledge of medical terminology to review claims system for approval or denial of coverage for claims related to accident/illness.

University Health Services Inc

Manager FWA and Subrogation

As a Healthcare Payor Consulting Manager on the Industry Solutions team, you will be responsible for: Leading end-to-end transformation programs, workstreams, or full engagements for health plan clients across business and technology teams, focused on health plan operations transformation, including core administrative functions, pharmacy operations, and operating model redesign. Supporting business development, proposal development, thought leadership, and go-to-market initiatives within AI & Engineering and Healthcare Industry Solutions, and mentoring junior practitioners with clear guidance on project delivery, problem solving, and client service excellence.

Deloitte Touche Tohmatsu Ltd

Manager, Healthcare Payor

Required Skills: Preferred Skills: Account Management, Analytical Reasoning, Competitive Landscape Analysis, Compliance Management, Cross-Functional Collaboration, Developing Others, Fact-Based Decision Making, Inclusive Leadership, Leadership, Market Access Reimbursement, Market Opportunity Assessment, Operational Excellence, Performance Measurement, Pricing Strategies, Relationship Building, Strategic Thinking, Team Management. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Neuroscience therapies.

Caring for the world, one person at a time... inspires and unites the people of Johnson&nbsp;&amp;&nbsp;Johnson. We embrace research and science - bringing innovative ideas, products and services to advance the health and well-being of people. Employees of the Johnson&nbsp;&amp;&nbsp;Johnson Family of Companies work with partners in health care to touch the lives of over a billion people every day, throughout the world.

Our Family of Companies comprises:

 The world’s sixth-largest consumer health company. 
 The world’s most comprehensive medical devices business. 
 The world’s sixth-largest biologics company. 
 And the world’s fifth-largest pharmaceuticals company. 


We have more than 265 operating companies in more than 60 countries employing approximately 126,500 people. Our worldwide headquarters is in New Brunswick, New Jersey, USA.

Johnson & Johnson

Field Reimbursement Manager, Neuroscience - (San Diego, CA) - Patient Engagement & Customer Solutions (Pecs)

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The Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health Inc

Nurse Case Manager II

We are a Legal Staffing firm placing Legal/Litigation Secretaries, Paralegals, Receptionists, Runners, Accounting, Management Positions, and Attorneys, in California and Las Vegas, providing quality service to our clients and candidates. Ms. Carver has worked in the legal field for many years at the capacity of a Litigation Secretary, Paralegal, Office Administrator, Temp, and now owns and operates her third legal staffing firm.

Law Tyme

Bilingual Personal Injury Case Manager

HOUR

Personal Injury Case Manager

Roofing experience is a major plus, but we will consider proven D2D leaders from solar, pest control, alarms, security, fiber, telecommunications, and other direct sales industries. We have an established sales process, proven training, operational support, marketing resources, leadership support, and a strong reputation in the home services industry.

Advosy

D2D Sales Manager - Roofing and Restoration

HiringThing

You will also oversee demand preparation, resolve final liens, and manage cases through to completion, ensuring that attorneys have comprehensive, well-documented files to effectively build and negotiate each case. Our products enable law firms to secure faster settlements, higher payouts, and better outcomes for victims injured through no fault of their own in vehicle collisions, accidents, natural disasters, and more.

EvenUp Inc

Spanish Bilingual | Personal Injury Pre-Litigation Case Manager

5+ years of experience in a technical construction management role - EV charging, retail fueling/gas service stations, renewables, data center, or other physical infrastructure development role preferred. The Infrastructure Manager is a key role, strategically positioned to manage day-to-day operations and execute long-term planning of the company's physical expansion to new markets.

Moove

Infrastructure Delivery Manager Phoenix, AZ, Miami, FL, Las Vegas, NV · Hybrid

FULL_TIME

People Leadership & Capability Staff, train and coach the team; run the training plan to proficiency; Pay for Skill program for the warehouse operations, manage skills matrix coverage and succession; execute performance management and engagement routines. Data, Reporting & Master Data Stewardship Own the Logistics Scorecard, Power BI/AlplaMart logistics reports, Masterdata KPIs, and month end packs (FG/RM, eMIS); ensure data quality and timely, accurate submissions to Finance.

Alpla Inc.

Logistics Manager

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As a member of the Data Center Supply Chain team, the Senior Program Manager, Site Logistics will protect the condition, custody, location, and availability of owner-furnished, contractor-installed (OFCI) equipment across outsourced storage and documented site handoff. The manager is expected to contribute beyond their primary area, including broader procurement, sourcing, supplier development, or planning assignments, based on relevant experience, equipment knowledge, readiness, workload, and appropriate specialist support.

SB Energy

Senior Program Manager, Site Logistics – Data Center Supply Chain

GreenHouseAPI

This inclusive resort provides you the perfect opportunity to entertain our guests as they stay in over 3,500 rooms and suites and play in our 77,000 square foot casino, and 15 acre backyard tropical retreat. Must be able to stoop, bend, jump, twist, crouch, grip, carry heavy loads, and maneuver quickly on level surfaces, as well as up and down stairs.

Caesars Entertainment Inc

Risk and Safety Manager (Flamingo LV)

All roles may entail, to varying extents, the following physical demands: Long periods (potentially exceeding 8 hours per day) of walking, standing, sitting, bending, pushing, pulling, climbing, lifting, balancing, stooping, twisting, squatting, handling materials, repetitive hand-wrist motions, and traversing uneven surfaces; Exposure to both extreme heat and cold; Exposure to loud noises, fumes, and airborne particles; In addition to the above demands inherent in every role, the following roles may entail unique physical demands, including: Operators/Drivers may work inside or outside vehicles and may operate vehicles for over 8 hours per day. Maintenance Employees may be exposed to toxic or caustic chemicals in a ventilated maintenance shop and may work with personal computers, laptops, electronic hand-held devices, complex electrical schematics, diagnostic software and testing devices, and other heavy machinery.

Keolis America

Human Resources Manager - Reno

As a member of the Data Center Supply Chain team, the Senior Program Manager, Project Logistics will lead domestic movement of high-value, long-lead owner-furnished, contractor-installed (OFCI) equipment from the agreed OEM handoff through delivery to the defined receiving point. The manager is expected to contribute beyond their primary area, including broader procurement, sourcing, supplier development, or planning assignments, based on relevant experience, equipment knowledge, readiness, workload, and appropriate specialist support.

Senior Program Manager, Project Logistics – Data Center Supply Chain

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Statement of Work (SOW) Management - Update and finalize the upcoming year's SOW, including submission of all required ServiceNow (SNOW) tickets, completion of project scoping activities, and preparation of supporting documentation for associated change orders.

Valeris Inc

Program Manager, Copay

Nature and Scope: This position must possess extensive healthcare claims knowledge and have been responsible for the appropriate, compliant billing to insurance companies and patients, including third-party payer arrangements, legal proceedings, and the use of private collection agencies, with an understanding of how the revenue cycle processes and systems integrate information from the entire patient encounter to ensure appropriate follow-up to provide expedient, accurate collections to attain the departmental goals and objectives. Responsible for the management of Pre-Accounts Receivable to include Discharged, Not Final Billed accounts, Charge Router and Charge Review Work Queues, Claim Edit Work Queues and claims processing, remittance adjudication, the balancing of cash and credit balances, no response claims, clinical and technical denials through a strong follow-up and appeal process for designated payors.

Claims Manager Jobs in Nevada

Manager, Healthcare Vendor Contracts and Analytics UNITE HERE HEALTH

Hse Manager Nox Group

HR Manager ALO

Senior Cost Manager Linesight

Manager FWA and Subrogation University Health Services Inc

Manager, Healthcare Payor Deloitte Touche Tohmatsu Ltd

Field Reimbursement Manager, Neuroscience - (San Diego, CA) - Patient Engagement & Customer Solutions (Pecs) Johnson & Johnson

Nurse Case Manager II Elevance Health Inc

Bilingual Personal Injury Case Manager Law Tyme

Personal Injury Case Manager Law Tyme

D2D Sales Manager - Roofing and Restoration Advosy

Spanish Bilingual | Personal Injury Pre-Litigation Case Manager EvenUp Inc

Infrastructure Delivery Manager Phoenix, AZ, Miami, FL, Las Vegas, NV · Hybrid Moove

Logistics Manager Alpla Inc.

Senior Program Manager, Site Logistics – Data Center Supply Chain SB Energy

Risk and Safety Manager (Flamingo LV) Caesars Entertainment Inc

Human Resources Manager - Reno Keolis America

Senior Program Manager, Project Logistics – Data Center Supply Chain SB Energy

Program Manager, Copay Valeris Inc

Manager of Business Office Renown Health

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